SOUTH CHARLESTON DERMATOLOGY PLLC
Organization (NPI-2)
Active
Dermatology
Provider Information
- NPI Number
1174604409- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 4815 KANAWHA AVE SW, SOUTH CHARLESTON, WV, 253091207
- Phone
- (304) 768-4567
- Fax
- (304) 768-2277
Specialties & Taxonomies
Dermatology
Primary License: WV #2097